Low energy, slower recovery, softer middle, shorter fuse, lower drive. If your labs confirm low testosterone, steady pellet therapy dosed by a physician can change how you feel within weeks.
Book Your Consultation Call (304) 520-0461
Testosterone pellets release a consistent dose with your blood flow for four to six months — none of the peaks and troughs of weekly shots or the daily routine of gels. Biöte pellets are bioidentical: the same molecule your body makes.
At Serene Med Spa in Barboursville, treatment starts with a lab panel (total and free testosterone, estradiol, PSA, CBC, metabolic panel, thyroid and more) and a physician visit. If your levels are low and therapy is appropriate, pellets are dosed to your labs and placed under the skin of the upper hip in about five minutes under local anesthetic. Most men notice energy, sleep and mood improve within two to four weeks, with libido, strength and body composition following over two to three months. Insertions are $465 (T100) or $645 (T200) per insertion and repeat every four to six months. For men who want to preserve natural production and fertility signaling while on therapy, we prescribe Gonadorelin ($109/month). Labs are rechecked every cycle; testosterone is a controlled substance and is prescribed only in person, when medically indicated.
Tired by mid-afternoon; workouts that take days to bounce back from.
Reduced libido and erectile changes that pills only partly help.
Belly fat that won’t move and muscle that is hard to keep despite training.
Irritability, flat mood, brain fog and lost motivation.
Poor sleep quality and waking unrefreshed.
Already on weekly injections and tired of the roller coaster? Pellets give steady levels.
A physician visit and lab panel to confirm low testosterone and rule out other causes.
Pellets dosed to your labs, placed under the skin of the upper hip in about five minutes under local anesthetic.
Energy, sleep and mood in 2–4 weeks; libido, strength and body composition over 2–3 months.
Labs rechecked and pellets repeated every 4–6 months; Gonadorelin monthly if you choose it.
Dr. Robin Arora is board-certified in internal medicine and nephrology — he reads your kidney, liver, blood-count and prostate labs alongside your hormones, and doses accordingly. Our providers are Biöte certified, prices are published, and the consultation is complimentary.
Book a Consultation$465
Every 4–6 months
$645
Higher dose; every 4–6 months
$109 / month
Preserves natural production
Billed by Labcorp
Insurance usually applies
Complimentary
Prices are published and the consultation is complimentary. See the full price list.
$465 for a T100 insertion or $645 for a T200 insertion at Serene Med Spa in Barboursville, repeated every four to six months. Gonadorelin is $109 per month. Labs are billed separately (usually through insurance at Labcorp). The consultation is complimentary.
Yes. Testosterone is prescribed only when labs confirm a deficiency and a physician has reviewed your history. We recheck labs before every cycle.
Pellets give steady levels for four to six months with no weekly needle or daily routine, and no risk of transferring gel to family members. Injections cause peaks and troughs; gels depend on daily compliance.
On testosterone therapy the body can reduce its own production and testicular size. Gonadorelin signals the pituitary to keep natural production going, which also matters for men who may want children.
Possible acne, fluid retention, a rise in red blood cells or estradiol, and prostate considerations — all monitored on labs and managed by dose adjustment. Therapy is not appropriate for men with prostate or breast cancer or untreated sleep apnea.
No. Testosterone is a controlled substance and is prescribed only in person at our Barboursville and Barboursville offices.
"Dr. Shweta Arora is skilled with fillers & Botox. She listens to your concerns and looks at your face to see what is needed! I look and feel 10 yrs younger after the first visit. She starts conservatively which is nice if it’s your first time. Love Serene Spa in Barboursville."
"Dr Arora is the best! So considerate and patient. Took the time to answer my many questions without trying to rush me out. Extremely thorough and knowledgeable. I recommend emphatically. He does not disappoint."
"Great service and great staff. Very helpful with any questions. I always leave feeling taken care of and looking my best."
★★★★★ Verified reviews from our patients on Google




Individual results may vary. Photos of our own patients, shared with consent.
Located just off I-64 in Barboursville, Serene Med Spa welcomes patients seeking testosterone replacement therapy for men from across Cabell, Wayne, Lincoln and Putnam counties in West Virginia, Lawrence County, Ohio, and Boyd & Greenup counties in Kentucky — including the communities below.
Monthly payment plans through Cherry and CareCredit, with 0% APR options for qualified patients. Applying with Cherry doesn’t affect your credit score.
How Easy Pay works ›Book a complimentary low-T consultation with our Barboursville physicians.
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A member of our team will reach out within one business day. Prefer not to wait? Book online now or call (304) 520-0461.